Local Dental Care - Dental Pain

Periodontal Regeneration Dentistry Treatment

Periodontal regeneration means restoring the bone and supporting tissues adjacent to teeth with advanced bone loss. Frequently, periodontal regeneration treatment will prolong the use of the involved teeth. A periodontist or dentist will diagnose the problem by taking a careful medical and dental history.

The tissues adjacent to the teeth will be gently probed with a calibrated, ruler-like instrument. These measurements, together with a dental X-ray, will help determine the appropriate treatment for the involved teeth.

There are many regenerative techniques and methods. Bone purchased from bone banks has been used effectively as a regenerative material for over 30 years. This bone is procured from healthy individuals, is carefully processed, and has been proven safe. Treatment consists of carefully moving the gum tissue away from the involved teeth and removing tarter (calculus) deposits from the root surfaces.

The bony defect is gently filled with the bone bank material (allogenic bone) or other synthetic materials. The gums are then replaced around the neck of the teeth with small sutures. The sutures are removed within five to seven days, and gentle tooth brushing can resume.

Synthetic bone substitutes have been developed to simulate natural bone. These materials are safe, and may help support the involved teeth. Such substitutes are implanted through periodontal surgery. Recently, cow bone, which is carefully prepared, sterilized, and safe, has been used to repair defects next to teeth. This bone is porous, allowing bone from the patient to grow into the pores. New technologies have developed porcine (pig) proteins, which, when painted onto teeth, allow for natural regeneration of tooth cementum and bone. These materials have demonstrated early promising clinical results.

The use of barrier membranes to protect and isolate bony defects has been used for over 15 years. These are made from synthetic, non-dissolvable materials, dissolvable materials, or bovine collagen (cow collagen). Membranes are frequently used either with synthetic graft materials or with bone purchased from bone banks. Recently, proteins have been joined to synthetic bone.

This material enhances cell attachment to root surfaces and may provide an effective method for periodontal regeneration. In the future, proteins that stimulate bone formation and enhance formation of new root cementum will make periodontal regeneration a simple, effective method to save teeth with advanced disease.

The materials discussed above have been published in dental journals, are safe, and generally result in tooth retention with bone fill of the treated bony defects. Articles relating to periodontal regeneration can be researched from PubMed using the following key words: "periodontal," "regeneration," "allogenic bone," "synthetic bone grafting," and "barrier membranes."

By William Becker, DDS

Bleeding Gums, Stop the Battle of Gum Disease

You probably know people who are always pushing hard, taking every opening, never giving up. That describes gum disease. It's relentless, ongoing, and bleeding gums aren't the worst of it.

That's why, when you're diagnosed with periodontal disease, it seems you're in the dentist's office all the time. And it isn't far from the truth, because you'll need to be as focused and relentless as the gum disease in order to defeat it.

Your dentist can tell you all you need to know about treatment. As your care proceeds, you'll learn even more. Your dentist will use the most advanced treatments available to treat your bleeding gums, and you'll continue your care at home, every day.

Periodontal treatment seems endless because the gum disease process is ongoing. While we're containing bacterial infection in one part of your mouth, your dentist will also try to stop it from gaining control in another area. It's a constant battle, one you're a key part of.

The first step is determining if you have periodontal disease. Millions of Americans suffer with gum disease, so if you do, you're not alone. And even with constant attention, periodontal disease can keep recurring, again and again.

So it's important that you keep every appointment. Your dental professionals will do their best to accommodate your schedule, but remember, gum disease doesn't cut you any slack and often gives no advance warning. So if you want to avoid bleeding gums, you'll have to make the commitment to see your dentist, often.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.